水胜火,子能令母实,母能令子虚,故泻火补水,欲令金不得平木也。经曰∶不能治其虚,何问其余,此之谓
也。(七十五难“金不得平木”,“不”字衍文。)
〔《素》〕上实下虚,切而从之,索其经络脉,刺出其血以见通。
〔《灵》〕一经上实下虚而不通者,此必有横络盛加于大经,令之不通,视而泻之,此所谓解结也。邪之所
在,皆为不足,故上气不足,胸为之不满,耳为之苦鸣,头为之苦倾,目为之瞑。中气不足,溲便为之
变,肠为之苦鸣。下气不足,则乃为痿厥心俯,补足外踝下留之。上气不足,推而扬之。下气不足,积而从之。
阴阳皆虚,火自当之。
〔《甲》〕内伤不足,三阳络主之。
〔《灵》〕阴阳不相移,虚实不相倾,取之其经。(终始篇)
〔《难》〕言虚者补之,实者泻之,不实不虚,以经取之,何谓也?曰虚者补其母,实者泻其子。当先补之,
然后泻之。不实不虚,以经取之者,是正经自生病,不中他邪也,当自取其经,故言以经取之也。(六十九难)
上自篇首分阴阳脏腑虚实而施补泻法者,皆谓阴阳相移,虚实相倾,而血气所离之经为虚,所并之经为
实,故一实一虚,而用针补虚泻实矣。若阴阳不相移,虚实不相倾,则血气未离,并无虚经,无实经,但
取本经自病,不于他经补泻也。
〔《灵》〕帝曰∶经脉十二者,别为五行,分为四时,何失而乱,何得而治?岐伯曰∶五行有序,四时有分,
相顺则治,相逆则乱。帝曰∶何谓相顺?对曰∶经脉十二者,以应十二月。十二月者,分为四时。四时者,秋
冬春夏。其气各异,荣卫相随,阴阳已和,清浊不相干,如是则顺之而治。帝曰∶何谓逆而乱?对曰∶清气在
阴,浊气在阳,荣气顺脉,卫气逆行,清浊相干,乱于胸中,是为大 。故气乱于心,则烦心密嘿,俯首静伏。
乱于肺,则俯仰喘喝,接手以呼。乱于肠胃,则为霍乱。乱于臂胫,则为四厥。乱于头,则为厥逆,头重眩仆。
帝曰∶五乱者,刺之有道乎?岐伯曰∶气在于心者,取之手少阴心主之输。气在于肺者,取之手太阴荥,
足少阴输。气在于肠胃者,取之足太阴阳明,不下者,取之三里。气在于头者,取之天柱、大抒。不知,取足
太阳荥输。气在于臂足,取之先去血脉,后取其阳明、少阳之荥输。帝曰∶补泻奈何?对曰∶徐入徐出,谓之
导气,补泻无形,谓之同精,是非有余不足也。乱气之相逆也。(五乱篇)
〔《灵》〕邪在肝,则两胁中痛,寒中,恶血在内,行善掣节,时脚肿,取之行间以引胁下,补三里以温胃
中,取血脉以散恶血,取耳间青脉以去其掣。
〔《素》〕肝病者,两胁下痛引少腹,令人善怒。虚则目KT KT 无见,耳无所闻,善恐,如人将捕之,取其经,
厥阴与少阳。气逆则头痛,耳聋不聪,颊肿,取血者。(胁者肝之野,怒者肝之用,肝实则气并其经,故胁痛。)
〔《灵》〕邪在心,则病心痛,喜悲,时眩仆,视有余不足,而调之其输也。
〔《素》〕心病者,胸中痛,胁支痛,胁下痛,膺背肩甲间痛,两臂内痛。虚则胸腹大,胁下与腰相引而
痛,取其经,少阴太阳,舌下血者。其变病,刺 中血者。(胸胁者,心之野。背肩胸者,心之府。小
肠经所过,心实故气并其经也。)
〔《灵》〕邪在脾胃,则病肌肉痛。阳气有余,阴气不足,则热中,善饥。阳气不足,阴气有余,则寒中,肠
鸣腹痛。阴阳俱有余,若俱不足,则有热有寒,皆调于三里。
〔《素》〕脾病者,身重善饥内痿,足不收行,善 脚下痛。虚则腹满肠鸣,飧泄,食不化,取其经,太
阴阳明少阴血者。
〔《灵》〕邪在肺,则病皮肤痛,寒热,上气喘,汗出,咳动肩背,取之膺中外俞,背三节五脏之傍,以手
疾按之,快然乃刺之,取之缺盆中以越之。
〔《素》〕肺病者,喘咳逆气,肩背痛,汗出,尻阴股膝髀 足皆痛。虚则少气,不能报息,耳聋,嗌干,
取其经太阴,足太阳之外,厥阴内血者。
〔《灵》〕邪在肾,则病骨痛,阴痹。阴痹者,按之而不得,腹胀腰痛,大便难,肩背胫项痛,时眩。取之
涌泉、昆仑,视有血者尽取之。
〔《素》〕肾病者,腹大胫肿,喘咳身重,寝汗出憎风。虚则胸中痛,大腹小腹痛,清厥,意不乐。取其经,
少阴太阳血者。(以上《灵》出五邪篇,《素》出藏气法时篇。)
〔《灵》〕大肠病者,肠中切痛而鸣濯濯,冬日重感于寒即泄,当脐而痛,不能久立,与胃同候,取巨虚上
廉。(邪气脏腑病形篇)腹中肠鸣,气上冲胸,喘不能久立,邪在大肠,刺盲之原,巨虚上廉三里。四时气篇)
胃病者,腹 胀胃脘当心而痛,上支两胁膈噎不通,饮食不下,取之三里。(同上邪气篇)饮食不下,膈塞不
通,邪在胃脘,在上脘则刺抑而下,在下脘则散而去之。(同上四时篇)
小肠病者,小腹痛,腰脊控睾而痛,时窘之后,当耳前热,若寒甚,若独肩上热甚,及手小指次指之间
热,若脉陷者,此其候也。手太阳病也,取之巨虚下廉。(同上邪气篇)小腹控睾引腰脊,上冲心,邪在小肠者,
连睾系,属于脊,贯肝肺,络心系。气盛则厥逆,上冲肠胃,熏肝,散于肓,结于脐,故取之肓原以散之,刺太阴
以予之,取厥阴以下之,取巨虚下廉以去之,按其所过之经而调之。(同上四时篇)
膀胱病者,小腹偏肿而痛,以手按之,即欲小便而不得,肩上热,若脉陷及足小指外廉及胫踝后皆热,若
脉陷,取委中央。(同上邪气篇)
三焦病者,腹气满,小腹尤坚,不得小便,窘急溢则水留,即为胀候,在足太阳之外大络,大络在太阳少
阳之间,亦见于脉,取委阳。小腹痛肿,不得小便,邪在三焦,约取之太阳大络,视其脉络与厥阴小络结而血
者,肿上及胃脘,取三里。(同上四时篇)
胆病者,善太息,口苦,呕宿汁,心下澹澹,恐人将捕之,嗌中 然数唾,在足少阳之本末,亦视其脉
之陷下者灸之。其寒热者,取阳陵泉。(同上邪气篇)善呕,呕有苦,长太息,心中澹澹,恐人将捕之。邪在胆,逆
在胃,胆液泄则口苦,胃气逆则呕苦,故曰呕胆。取三里以下。胃气逆则刺少阳血络,以闭胆逆,却调其虚实,
以去其邪。(同上四时篇)
〔《灵》〕寸口主中,人迎主外,两者相应,俱往俱来,若引绳大小齐等,春夏人迎微大,秋冬寸口微大,
如是者名曰平人。人迎大一倍于寸口,病在足少阳;一倍而躁,病在手少阳。人迎二倍,病在足太阳;二倍而
躁,病在手太阳。人迎三倍,病在足阳明;三倍而躁,病在手阳明。盛则为热,虚则为寒,紧则为痛痹,代则
乍甚乍间。盛则泻之,虚则补之,紧痛则取之分肉,代则取血络,且饮药,陷下则灸之,不盛不虚,以经取之,
名曰经刺。人迎四倍,且大且数者,名曰溢阳。溢阳为外格,死不治。必审按其本末,察其寒热,以验其脏腑
之病。(禁服篇)人迎一盛,泻足少阳而补足厥阴,二泻一补,日一取之,必切而验之,疏取之,上气和乃止。人迎
二盛,泻足太阳而补足少阴,二泻一补,二日一取之,必切而验之,疏取之,上气和乃止。人迎三盛,泻足阳
明而补足太阴,二泻一补,日二取之,必切而验之,疏取之,上气和乃止。(终始篇)
〔《灵》〕寸口大于人迎一倍,病在足厥阴;一倍而躁,在手心主。寸口二倍,病在足少阴;二倍而躁,在
手少阴。寸口三倍,病在足太阴;三倍而躁,在手太阴。盛则胀满,寒中,食不化。虚则热中,出糜,少气,
溺色变。紧则痛痹。代则乍痛乍止。盛则泻之,虚则补之,紧则先刺而后灸之,代则取血络而后调之,陷下则
徒灸之。陷下者,脉血结于中,中有着血,血寒故宜灸之。不盛不虚,以经取之。寸口四倍者,名曰内关,内
关者,且大且数,死不治。必审察其本末之寒温,以验其脏腑之病,通其荥输,乃可传于大数。大数曰∶盛则
徒泻之,虚则徒补之,紧则灸刺,且饮药,陷下则徒灸之,不盛不虚,以经取之。所谓经治者,饮药,亦曰刺
灸,脉急则引,脉大以弱,则欲安静,用力无劳也。(禁服篇)脉口一盛,泻足厥阴而补足少阳,二补一泻,日一取
之,必切而验之,疏而取之;上气和而止。脉口二盛,泻足少阴而补足太阳,二补一泻,二日一取之,必切而
验之,疏而取之,上气和乃止。脉口三盛,泻足太阴而补足阳明,二补一泻,日二取之,必切而验之,疏而取
之,上气和乃止。所以日二取之者,太阳主胃,大富于谷气,故可日二取之也。(终始篇)人迎与脉口俱盛三倍
以上,命曰阴阳俱溢。如是者,不开则血脉闭塞,气无所行,流淫于中,五脏内伤。如此者,因而灸之,则变
易为他病矣。(同上)
肺手太阴之脉是动,则病肺胀满,膨膨而喘咳,缺盆中痛,甚则交两手而瞀,此为臂厥。是主肺所生病者,
咳嗽上气,喘渴烦心,胸满, 臂内前廉痛厥,掌中热。气盛有余,则肩背痛,风寒汗出中风,小便数而欠。
气虚则肩背痛寒,少气不足以息。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛
不虚,以经取之。盛者,寸口大三倍于人迎。虚者,则寸口反小于人迎也。
脾足太阴之脉是动,则病舌本强,食则呕,胃脘痛,腹胀,善噫,得后与气,则快然如衰,身体皆重。是
主脾所生病者,舌本痛,体不能动摇,食不下,烦心,心下急痛,寒疟,溏瘕泄,水闭,黄胆,不能卧,强立
股膝内肿,厥,足大指不用。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,
以经取之。盛者,寸口大三倍于人迎。虚者,寸口反小于人迎也。
大肠手阳明之脉是动,则病齿痛 肿。是主津液所生病者,目黄口干,鼽衄喉痹,肩前 痛,大指次指不
用。气有余,则当脉所过者热肿,虚则寒栗不复。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷
下则灸之,不盛不虚,以经取之。盛者,人迎大三倍于寸口,虚者,人迎反小于寸口也。
胃足阳明之脉是动,则病洒洒振寒,善呻数欠,颜黑,病至则恶人与火,闻木音则惕然而惊,心动,欲独
闭户塞牖而处,甚则欲上高而歌,弃衣而走,贲响腹胀,是为 厥。是主血所生病者,狂疟温淫,汗出,鼽衄,
口唇胗,颈肿喉痹,大腹水肿,膝膑肿痛,循膺乳气街股伏兔 外廉足跗上皆痛,中指不用。气盛则身以前
皆热,其有余于胃,则消谷善饥,溺色黄。气不足则身以前皆寒栗,胃中寒,则胀满。为此诸病,盛则泻之,虚则
补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,人迎大三倍于寸口。虚者,人迎反小于寸口也。
心手少阴之脉是动,则病嗌干心痛,渴而欲饮,是为臂厥。是主心所生病者,目黄,胁痛, 臂内后廉痛,
厥,掌中热痛。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。
盛者,寸口大再倍于人迎。虚者,寸口反小于人迎也。
肾足少阴之脉是动,则病饥不欲食,面如漆柴,咳唾则有血,喝喝而喘,坐而欲起,目KT KT 如无所见,心
如悬苦饥状,气不足则善恐,心惕惕如人将捕之,是为骨厥。是主肾所生病者,口热舌干,咽肿上气,嗌干及
痛,烦心,心痛,黄胆,肠 ,脊酸,股内后廉痛,痿厥,嗜卧,足下热而痛。为此诸病,盛则泻之,虚则补
之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。灸则强食生肉,缓带被发,大杖重履而步。盛
者,寸口大再倍于人迎。虚者,寸口反小于人迎也。
小肠手太阳之脉是动,则病嗌痛,颔肿,不可以顾,肩似拔, 似折。是主液所生病者,耳聋,目黄,颊
肿,颈颔肩 肘臂外后廉痛。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,
以经取之。盛者,人迎大再倍于寸口。虚者,人迎反小于寸口也。
膀胱足太阳之脉是动,则病冲头痛,目似脱,项如拔,脊痛,腰似折,髀不可以曲, 如结, 如裂,是
为踝厥。是主筋所生病者,痔,疟,狂颠疾,头囟项痛,目黄泪出,鼽衄,项背腰尻 脚皆痛,小指不用。
为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚以经取之。盛者,人迎大再倍
于寸口。虚者,人迎反小于寸口也。
心主手厥阴心包络之脉是动,则病手心热,臂肘挛急,腋肿,甚则胸胁支满,心中 大动,面赤目黄,
喜笑不休。是主脉所生病者,烦心心痛,掌中热。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷
下则灸之,不盛不虚,以经取之。盛者,寸口大一倍于人迎。虚者,寸口反小于人迎也。
肝足厥阴之脉是动,则病腰痛不可以俯仰,丈夫 疝,妇人少腹肿,甚则嗌干,面尘脱色。是主肝所生病
水克火,子(火)能令母(木)实,母(木)能令子(火)虚,所以泻心火、补肾水,是为了让金气不能制约肝木。经文说:“如果不能治疗虚弱的问题,还谈什么其他问题”,就是这个意思。(《难经》第七十五难中“金不得平木”的“不”字是衍文。)
〔《素问》〕上实下虚的情况,顺着经络切按寻找,探查其经络脉象,针刺放出血液以见到气血通畅。
〔《灵枢》〕如果一条经脉出现上实下虚且不通畅,这一定有横行的络脉盛大并压迫在大经脉上,导致气血不通,观察后予以泻法,这就是所谓的“解结”。邪气所在的地方,都是因为正气不足。所以上部之气不足,胸部就会感到不满,耳朵会痛苦地鸣响,头部会痛苦地倾斜,眼睛会昏暗看不清。中部之气不足,大小便就会发生变化,肠道会痛苦地鸣响。下部之气不足,就会出现痿证和厥逆,心脏俯仰不利,应当补足外踝下方的穴位并留针。上部之气不足,用推扬的手法。下部之气不足,用积聚顺从的手法。如果阴阳都虚,应当用火灸治疗。
〔《甲乙经》〕内伤不足之证,由三阳络穴主治。
〔《灵枢》〕如果阴阳不相移易,虚实不相倾夺,就取本经进行治疗。(出自《终始》篇)
〔《难经》〕说虚证用补法,实证用泻法,不虚不实则取本经治疗,这是什么意思呢?回答说:虚证补其母经,实证泻其子经。应当先补后泻。所谓不虚不实而取本经治疗的,是指本经自己生病,没有受到他经邪气的干扰,应当直接取本经,所以说“以经取之”。(出自第六十九难)
上面从篇首开始,分阴阳脏腑虚实而施用补泻法的,都是指阴阳相互移易,虚实相互倾夺,血气所离开的经脉为虚,血气所汇聚的经脉为实,所以一虚一实,就用针刺来补虚泻实。如果阴阳不相移易,虚实不相倾夺,那么血气就没有离开原位,并没有虚经和实经之分,只是取本经自生的病,不在他经进行补泻。
〔《灵枢》〕黄帝问:十二经脉,别分为五行,分为四时,是什么失常而紊乱,又是什么得治?岐伯回答:五行有序,四时有分,相顺则治,相逆则乱。黄帝问:什么叫相顺?回答说:十二经脉对应十二月。十二月分为四时。四时即秋冬春夏。它们的气各不相同,营卫相随,阴阳已调和,清浊不相干扰,像这样就是顺而治。黄帝问:什么叫逆而乱?回答说:清气在阴分,浊气在阳分,营气顺脉而行,卫气逆行,清浊相干扰,乱于胸中,这就称为大悗(mèn,烦闷)。气乱于心,就会心烦沉默,低头静伏。气乱于肺,就会俯仰喘息有声,用手接住胸口呼吸。气乱于肠胃,就会霍乱。气乱于臂胫,就会四肢厥冷。气乱于头,就会厥逆,头重眩晕跌倒。黄帝问:五乱有刺法吗?岐伯回答:气在于心的,取手少阴心包经的输穴。气在于肺的,取手太阴荥穴,足少阴输穴。气在于肠胃的,取足太阴、阳明经,不下行的,取足三里穴。气在于头的,取天柱、大杼穴。不见效,取足太阳经的荥穴、输穴。气在于臂足的,先取去血脉,后取足阳明、足少阳的荥穴、输穴。黄帝问:补泻怎么做?回答说:慢进慢出,叫做导气;补泻无形,叫做同精,这不是有余和不足,而是乱气相逆。(出自《五乱》篇)
〔《灵枢》〕邪气在肝,就会两胁中间疼痛,寒邪入中,恶血在内,行走时关节牵掣,时常脚肿,取行间穴以牵引胁下,补三里穴以温胃中,取血脉以散恶血,取耳间青筋以去除牵掣感。
〔《素问》〕肝病的人,两胁下痛牵引少腹,使人容易发怒。虚证则视物模糊不清,耳朵听不见,容易恐惧,像被人要抓捕一样,取厥阴经和少阳经的血络。气逆则头痛,耳聋不聪,脸颊肿,取血络放血。(胁部是肝的领域,怒是肝的作用,肝实则气汇聚于其经,所以胁痛。)
〔《灵枢》〕邪气在心,就会心痛,喜欢悲伤,时常眩晕跌倒,视其有余不足,而调治其输穴。
〔《素问〕心病的人,胸中痛,胁肋支撑痛,胁下痛,胸前背肩胛间痛,两臂内侧痛。虚证则胸腹大,胁下与腰互相牵引而痛,取少阴、太阳经及舌下血络。(胸胁是心的领域,背肩胸是心的府邸。小肠经经过此处,心实则气汇聚于其经。)
〔《灵枢》〕邪气在脾胃,就会肌肉痛。阳气有余,阴气不足,就会热中,容易饥饿。阳气不足,阴气有余,就会寒中,肠鸣腹痛。阴阳都有余或都不足,就会有热有寒,都调治足三里。
〔《素问》〕脾病的人,身体沉重,容易饥饿,内脏痿软,脚不收抬行走,脚底痛。虚证则腹部胀满肠鸣,完谷不化的泄泻,食物不消化,取太阴、阳明、少阴经的血络。
〔《灵枢》〕邪气在肺,就会皮肤痛,寒热,上气喘促,出汗,咳嗽牵动肩背,取膺中外俞,背部第三椎旁五脏之傍,用手快速按压,患者感觉舒适才针刺,取缺盆穴以宣泄肺气。
〔《素问》〕肺病的人,喘咳逆气,肩背痛,出汗,臀部、阴部、大腿、膝盖、髀部、足部都痛。虚证则气短,不能深吸气,耳聋,咽干,取太阴经,足太阳经外侧,厥阴经内侧的血络。
〔《灵枢》〕邪气在肾,就会骨痛,阴痹。阴痹的特点是按压找不到痛点,腹胀腰痛,大便困难,肩背胫项痛,时常眩晕。取涌泉、昆仑穴,视有瘀血的尽取之。
〔《素问》〕肾病的人,腹部肿大,小腿肿胀,喘咳身体重,睡着出汗怕风。虚证则胸中痛,大腹小腹痛,清冷厥逆,心情不乐。取少阴、太阳经的血络。(以上《灵枢》出自《五邪》篇,《素问》出自《藏气法时》篇。)
〔《灵枢》〕大肠病的人,肠中剧烈疼痛且鸣响如濯濯声,冬天再次受寒就泄泻,肚脐周围痛,不能久站,与胃同候,取巨虚上廉穴。(出自《邪气脏腑病形》篇)腹中肠鸣,气上冲胸,喘不能久站,邪在大肠,刺盲之原穴,巨虚上廉、三里。(出自《四时气》篇)胃病的人,腹部胀满,胃脘当心而痛,向上支撑两胁,膈噎不通,饮食不下,取足三里。(同上《邪气》篇)饮食不下,膈塞不通,邪在胃脘,在上脘则刺抑而下,在下脘则散而去之。(同上《四时》篇)
小肠病的人,小腹痛,腰脊牵引睾丸而痛,时常窘迫想大便,当耳前发热,若寒冷甚,若独肩上热甚,及手小指次指之间热,若脉陷下者,这是其征候。手太阳经病,取巨虚下廉穴。(同上《邪气》篇)小腹牵引睾丸连腰脊,上冲心,邪在小肠者,连系睾丸,属于脊,贯穿肝肺,联络心系。气盛则厥逆,上冲肠胃,熏蒸肝脏,散于肓膜,结于脐,所以取肓原穴以消散它,刺太阴经给予它,取厥阴经以下降它,取巨虚下廉以去除它,按其所过的经脉调治。(同上《四时》篇)
膀胱病的人,小腹偏侧肿痛,用手按压,就想小便却不得,肩上热,若脉陷及足小指外侧及胫踝后皆热,若脉陷,取委中穴。(同上《邪气》篇)
三焦病的人,腹部气满,小腹尤其坚硬,不能小便,窘急溢出则水停留,即为胀候,在足太阳经之外的大络,大络在太阳、少阳之间,也见于脉,取委阳穴。小腹痛肿,不能小便,邪在三焦,约取太阳大络,视其脉络与厥阴小络结而有血的,肿上及胃脘,取三里。(同上《四时》篇)
胆病的人,喜欢叹气,口苦,呕吐宿汁,心下悸动,恐人将捕之,咽喉中有异物感频繁吐唾,在足少阳经的本末,也视其脉之陷下的施灸。有寒热的,取阳陵泉穴。(同上《邪气》篇)喜欢呕吐,呕有苦味,长叹气,心中悸动,恐人将捕之。邪在胆,逆在胃,胆液泄则口苦,胃气逆则呕苦,所以叫呕胆。取三里以降逆。胃气逆则刺少阳血络,以闭胆逆,再调其虚实,以去其邪。(同上《四时》篇)
〔《灵枢》〕寸口脉主内,人迎脉主外,两者相应,俱往俱来,像拉绳子一样大小齐等,春夏人迎微大,秋冬寸口微大,像这样的人叫平人。人迎大一倍于寸口,病在足少阳;一倍而躁动,病在手少阳。人迎二倍,病在足太阳;二倍而躁动,病在手太阳。人迎三倍,病在足阳明;三倍而躁动,病在手阳明。盛则为热,虚则为寒,紧则为痛痹,代则乍轻乍重。盛则泻之,虚则补之,紧痛则取之分肉,代则取血络,且服药,陷下则灸之,不盛不虚,以经取之,名叫经刺。人迎大四倍,且大且数,名叫溢阳。溢阳为外格,死不治。必须审察其本末,察其寒热,以验证脏腑之病。(出自《禁服》篇)人迎一盛,泻足少阳而补足厥阴,二泻一补,每天取一次,必须切脉验证,疏泄取之,上气和乃止。人迎二盛,泻足太阳而补足少阴,二泻一补,两天取一次,必须切脉验证,疏泄取之,上气和乃止。人迎三盛,泻足阳明而补足太阴,二泻一补,每天两次取之,必须切脉验证,疏泄取之,上气和乃止。(出自《终始》篇)
〔《灵枢》〕寸口大于人迎一倍,病在足厥阴;一倍而躁动,在手心主。寸口二倍,病在足少阴;二倍而躁动,在手少阴。寸口三倍,病在足太阴;三倍而躁动,在手太阴。盛则胀满,寒中,食不化。虚则热中,出糜,少气,尿色变。紧则痛痹。代则乍痛乍止。盛则泻之,虚则补之,紧则先刺后灸,代则取血络后调之,陷下则只灸。陷下者,脉血结于中,中有蓄血,血寒故宜灸之。不盛不虚,以经取之。寸口大四倍,名叫内关,内关者,且大且数,死不治。必须审察其本末之寒温,以验证脏腑之病,通其荥输,才可传于大法。大法说:盛则只泻之,虚则只补之,紧则灸刺且服药,陷下则只灸之,不盛不虚,以经取之。所谓经治者,服药,也叫刺灸,脉急则引伸,脉大以弱,则欲安静,用力无劳损。(出自《禁服》篇)脉口一盛,泻足厥阴而补足少阳,二补一泻,每天取一次,必须切脉验证,疏泄取之;上气和而止。脉口二盛,泻足少阴而补足太阳,二补一泻,两天取一次,必须切脉验证,疏泄取之,上气和乃止。脉口三盛,泻足太阴而补足阳明,二补一泻,每天两次取之,必须切脉验证,疏泄取之,上气和乃止。之所以每天两次取之,是因为太阳主胃,大富于谷气,所以可每天两次取之。(出自《终始》篇)人迎与脉口俱盛三倍以上,名叫阴阳俱溢。像这样,不开泄则血脉闭塞,气无所行,流淫于中,五脏内伤。像这样,因而灸之,则变易为他病了。(同上)
肺手太阴之脉是动,就会病肺胀满,膨膨而喘咳,缺盆中痛,甚则交两手而昏冒,这叫臂厥。是主肺所生病者,咳嗽上气,喘渴烦心,胸满,臂内前廉痛厥,掌中热。气盛有余,则肩背痛,风寒汗出中风,小便数而欠。气虚则肩背痛寒,少气不足以息。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,寸口大三倍于人迎。虚者,则寸口反小于人迎也。
脾足太阴之脉是动,就会病舌本强,食则呕,胃脘痛,腹胀,善噫,得后与气,则快然如衰,身体皆重。是主脾所生病者,舌本痛,体不能动摇,食不下,烦心,心下急痛,寒疟,溏瘕泄,水闭,黄疸,不能卧,强立股膝内肿,厥,足大指不用。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,寸口大三倍于人迎。虚者,寸口反小于人迎也。
大肠手阳明之脉是动,就会病齿痛龈肿。是主津液所生病者,目黄口干,鼽衄喉痹,肩前痛,大指次指不用。气有余,则当脉所过者热肿,虚则寒栗不复。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,人迎大三倍于寸口,虚者,人迎反小于寸口也。
胃足阳明之脉是动,就会病洒洒振寒,善呻数欠,颜黑,病至则恶人与火,闻木音则惕然而惊,心动,欲独闭户塞牖而处,甚则欲上高而歌,弃衣而走,贲响腹胀,是为骭厥。是主血所生病者,狂疟温淫,汗出,鼽衄,口唇胗,颈肿喉痹,大腹水肿,膝膑肿痛,循膺乳气街股伏兔外廉足跗上皆痛,中指不用。气盛则身以前皆热,其有余于胃,则消谷善饥,溺色黄。气不足则身以前皆寒栗,胃中寒,则胀满。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,人迎大三倍于寸口。虚者,人迎反小于寸口也。
心手少阴之脉是动,就会病嗌干心痛,渴而欲饮,是为臂厥。是主心所生病者,目黄,胁痛,臂内后廉痛,厥,掌中热痛。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,寸口大再倍于人迎。虚者,寸口反小于人迎也。
肾足少阴之脉是动,就会病饥不欲食,面如漆柴,咳唾则有血,喝喝而喘,坐而欲起,目KT KT 如无所见,心如悬苦饥状,气不足则善恐,心惕惕如人将捕之,是为骨厥。是主肾所生病者,口热舌干,咽肿上气,嗌干及痛,烦心,心痛,黄疸,肠 ,脊酸,股内后廉痛,痿厥,嗜卧,足下热而痛。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。灸则强食生肉,缓带被发,大杖重履而步。盛者,寸口大再倍于人迎。虚者,寸口反小于人迎也。
小肠手太阳之脉是动,就会病嗌痛,颔肿,不可以顾,肩似拔, 似折。是主液所生病者,耳聋,目黄,颊肿,颈颔肩 肘臂外后廉痛。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,人迎大再倍于寸口。虚者,人迎反小于寸口也。
膀胱足太阳之脉是动,就会病冲头痛,目似脱,项如拔,脊痛,腰似折,髀不可以曲, 如结, 如裂,是为踝厥。是主筋所生病者,痔,疟,狂颠疾,头囟项痛,目黄泪出,鼽衄,项背腰尻 脚皆痛,小指不用。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,不盛不虚以经取之。盛者,人迎大再倍于寸口。虚者,人迎反小于寸口也。
心主手厥阴心包络之脉是动,就会病手心热,臂肘挛急,腋肿,甚则胸胁支满,心中 大动,面赤目黄,喜笑不休。是主脉所生病者,烦心心痛,掌中热。为此诸病,盛则泻之,虚则补之,热则疾之,寒则留之,陷下则灸之,不盛不虚,以经取之。盛者,寸口大一倍于人迎。虚者,寸口反小于人迎也。
Water overcomes Fire. The child (Fire) can make the mother (Wood) full, and the mother (Wood) can make the child (Fire) empty. Therefore, draining Heart Fire and tonifying Kidney Water is intended to prevent Metal from restraining Wood. The Classic states: "If one cannot treat deficiency, what else is there to discuss?" This refers to this principle. (In *Nan Jing* Chapter 75, the character "not" in "Metal does not level Wood" is a superfluous character.)
[Su Wen] In cases of upper excess and lower deficiency, palpate along the channels, investigate the meridians and vessels, and prick to bleed until patency is observed.
[Ling Shu] When one meridian presents with upper excess and lower deficiency and obstruction, there must be an abundance of transverse collaterals pressing upon the main meridian, causing blockage. Observe and drain them; this is called "untying the knots." Wherever pathogenic factors reside, it is due to deficiency. Thus, when Qi at the upper body is deficient, the chest feels distended, the ears ring painfully, the head tilts painfully, and the eyes become dim. When Qi at the middle body is deficient, urination and defecation change, and the intestines rumble painfully. When Qi at the lower body is deficient, flaccidity and cold limbs occur, and cardiac movement is impaired; tonify the point below the lateral malleolus and retain the needle. For upper Qi deficiency, use pushing and uplifting techniques. For lower Qi deficiency, use accumulating and following techniques. If both Yin and Yang are deficient, moxibustion should be applied.
[Jia Yi Jing] Internal injury and deficiency are primarily treated by Sanyangluo (SI6).
[Ling Shu] If Yin and Yang do not shift, and excess and deficiency do not tilt, treat the affected meridian itself. (From *Zhong Shi* chapter)
[Nan Jing] It says: tonify deficiency, drain excess, and for neither excess nor deficiency, take from the meridian. What does this mean? It is said: tonify the mother of deficiency, drain the child of excess. One must first tonify, then drain. "Neither excess nor deficiency, take from the meridian" means the primary meridian is diseased on its own, without interference from other pathogens; thus, one takes the meridian itself, hence "take from the meridian." (From *Nan Jing* Chapter 69)
The above sections, starting from the beginning of the chapter, differentiate Yin-Yang, Zang-Fu, excess, and deficiency to apply tonification and drainage methods. These refer to situations where Yin and Yang shift, and excess and deficiency tilt; the meridian from which Qi and Blood depart becomes deficient, and the meridian where they congregate becomes excessive. Thus, with one excess and one deficiency, acupuncture is used to tonify deficiency and drain excess. If Yin and Yang do not shift, and excess and deficiency do not tilt, then Qi and Blood have not departed, and there is no distinct deficient or excessive meridian; one simply treats the disease originating in the local meridian, without tonifying or draining other meridians.
[Ling Shu] The Yellow Emperor asked: The twelve meridians correspond to the Five Elements and the Four Seasons. What causes disorder, and what leads to cure? Qibo replied: The Five Elements are orderly, the Four Seasons have their divisions; harmony brings cure, opposition brings chaos. The Emperor asked: What is harmony? He answered: The twelve meridians correspond to the twelve months. The twelve months divide into the Four Seasons: Autumn, Winter, Spring, Summer. Their Qi differs, Ying and Wei follow each other, Yin and Yang are harmonized, and Clear and Turbid Qi do not interfere. This is harmony and cure. The Emperor asked: What is opposition and chaos? He answered: Clear Qi is in the Yin, Turbid Qi is in the Yang; Ying Qi follows the vessels, but Wei Qi moves counter to it. Clear and Turbid Qi interfere, chaotic in the chest, termed great confusion. If Qi is chaotic in the Heart, there is mental restlessness and silence, bowing the head and lying still. If chaotic in the Lungs, there is dyspnea and gasping, holding the chest while breathing. If chaotic in the Intestines and Stomach, there is cholera-like disorder. If chaotic in the arms and legs, there is cold extremities. If chaotic in the head, there is reversal of Qi, heavy head, dizziness, and collapse. The Emperor asked: Is there a method for needling the five types of chaos? Qibo replied: If Qi is in the Heart, take the Shu points of the Hand Shaoyin Pericardium Meridian. If in the Lungs, take the Ying-Spring point of the Hand Taiyin Lung Meridian and the Shu point of the Foot Shaoyin Kidney Meridian. If in the Intestines and Stomach, take the Foot Taiyin Spleen and Foot Yangming Stomach Meridians; if not descending, take Zusanli (ST36). If in the head, take Tianzhu (BL10) and Dazhu (BL11). If ineffective, take the Ying-Spring and Shu points of the Foot Taiyang Bladder Meridian. If in the arms and feet, first remove blood from the vessels, then take the Ying-Spring and Shu points of the Foot Yangming Stomach and Foot Shaoyang Gallbladder Meridians. The Emperor asked: How to tonify and drain? He answered: Slow insertion and slow extraction is called guiding Qi; formless tonification and drainage is called unifying Jing; this is not about excess or deficiency, but about rebellious chaotic Qi. (From *Wu Luan* chapter)
[Ling Shu] Pathogen in the Liver causes pain in the middle of both hypochondria, cold entering the interior, and evil blood retained within. Walking causes joint pulling, and occasional foot swelling. Take Xingjian (LR2) to guide Qi from the hypochondria, tonify Zusanli (ST36) to warm the Stomach, prick blood vessels to disperse evil blood, and prick green veins behind the ear to relieve pulling sensations.
[Su Wen] Liver disease manifests as pain in the lower hypochondria radiating to the lower abdomen, causing irritability. Deficiency presents as blurred vision, deafness, fearfulness, and a feeling of being hunted. Treat the Jueyin and Shaoyang meridians. Rebellious Qi causes headache, deafness, facial swelling; prick blood vessels. (The hypochondria is the domain of the Liver; anger is the function of the Liver. When Liver is excessive, Qi congregates in its meridian, causing hypochondriac pain.)
[Ling Shu] Pathogen in the Heart causes heart pain, sadness, and occasional fainting. Assess excess or deficiency and regulate the Shu points.
[Su Wen] Heart disease manifests as chest pain, supporting pain in the hypochondria, pain under the hypochondria, pain between the chest, back, and scapula, and pain in the inner arms. Deficiency presents with a large chest and abdomen, and pain connecting the hypochondria and waist. Treat the Shaoyin and Taiyang meridians and sublingual blood vessels. For transformed diseases, prick blood in the chest. (The chest and hypochondria are the domain of the Heart; the back, shoulders, and chest are the mansion of the Heart. The Small Intestine Meridian passes through here; Heart excess causes Qi to congest in its meridian.)
[Ling Shu] Pathogen in the Spleen and Stomach causes muscle pain. Excess Yang and deficient Yin cause internal heat and frequent hunger. Deficient Yang and excess Yin cause internal cold, intestinal rumbling, and abdominal pain. Both excess or both deficiency of Yin and Yang result in alternating heat and cold; all are regulated via Zusanli (ST36).
[Su Wen] Spleen disease manifests as heaviness, frequent hunger, internal flaccidity, inability to lift the feet, and sole pain. Deficiency presents with abdominal fullness, intestinal rumbling, undigested stool diarrhea, and poor digestion. Treat the Taiyin, Yangming, and Shaoyin meridians' blood vessels.
[Ling Shu] Pathogen in the Lungs causes skin pain, aversion to cold and fever, upper asthma, sweating, coughing that pulls the shoulders and back. Take Yingzhongwaiyu (points in the chest), and points beside the five Zang organs at the third thoracic vertebra on the back. Press quickly with the hand until comfort is felt, then needle. Take Quepen (LU1) to vent the Qi.
[Su Wen] Lung disease manifests as wheezing, coughing, and rebellious Qi, shoulder and back pain, sweating, and pain in the buttocks, yin region, thighs, knees, thighs, and feet. Deficiency presents with shortness of breath, inability to complete inhalation, deafness, and dry throat. Treat the Taiyin meridian, the exterior of the Foot Taiyang Bladder Meridian, and the interior of the Jueyin meridian's blood vessels.
[Ling Shu] Pathogen in the Kidneys causes bone pain and Yin Bi (obstruction). Yin Bi is characterized by tenderness that cannot be pinpointed, abdominal distension, lower back pain, difficulty defecating, shoulder, back, calf, and neck pain, and occasional dizziness. Take Yongquan (KI1) and Kunlun (BL60); drain all visible blood stasis.
[Su Wen] Kidney disease manifests as abdominal swelling, leg edema, wheezing, coughing, body heaviness, night sweats, and aversion to wind. Deficiency presents with chest pain, lower abdominal pain, cold extremities, and unhappiness. Treat the Shaoyin and Taiyang meridians' blood vessels. (Above from *Ling Shu* "Wu Xie" chapter, *Su Wen* "Zang Qi Fa Shi" chapter.)
[Ling Shu] Large Intestine disease manifests as cutting pain and rumbling in the intestines. If exposed to cold in winter, diarrhea occurs, with pain around the navel, and inability to stand for long periods. It shares signs with the Stomach; take Shangjuxu (ST37). (From *Xie Qi Zang Fu Bing Xing* chapter) Abdominal intestinal rumbling, Qi rushing to the chest, asthma, inability to stand long; pathogen in the Large Intestine. Prick the Yuan source of Huang (Sanjiao), Shangjuxu (ST37), and Zusanli (ST36). (From *Si Shi Qi* chapter) Stomach disease manifests as abdominal distension, epigastric pain centered at the heart, upward support to both hypochondria, diaphragmatic obstruction, and inability to eat. Take Zusanli (ST36). (Same *Xie Qi* chapter) Inability to eat, diaphragmatic obstruction; pathogen in the Epigastrium. If in the Upper Epigastrium, needle to suppress and descend; if in the Lower Epigastrium, disperse and eliminate. (Same *Si Shi* chapter)
Small Intestine disease manifests as lower abdominal pain, lumbar spine pulling to the testicles, urgency to defecate, heat before the ears, severe cold, isolated heat on the shoulder, heat between the little finger and ring finger, or sunken pulses. These are signs of Hand Taiyang disease; take Xiajuxu (SI36). (Same *Xie Qi* chapter) Lower abdominal pain pulling to testicles and lumbar spine, rushing up to the heart; pathogen in the Small Intestine connects to the testicular ligament, belongs to the spine, penetrates Liver and Lungs, and links to the Heart system. Excess Qi causes reversal, rushing to intestines and stomach, steaming the Liver, dispersing to the Huang membrane, knotting at the navel. Thus, take the Huang Yuan point to disperse, needle the Taiyin to give, take the Jueyin to descend, take Xiajuxu (SI36) to remove, and regulate according to the meridians passed. (Same *Si Shi* chapter)
Bladder disease manifests as unilateral lower abdominal swelling and pain. Pressure induces the urge to urinate but fails. Heat on the shoulder, sunken pulse, heat at the lateral aspect of the little toe and posterior tibial malleolus, or sunken pulse; take Weizhong (BL40). (Same *Xie Qi* chapter)
Sanjiao disease manifests as abdominal fullness, especially hard lower abdomen, inability to urinate, urgency leading to water retention and distension. Located in the large collateral outside the Foot Taiyang meridian, between Taiyang and Shaoyang, also visible in pulses; take Weiyang (BL39). Lower abdominal swelling and pain, inability to urinate; pathogen in Sanjiao. Approximately take the large collateral of Taiyang. Observe collaterals knotted with blood connecting to the Jueyin small collaterals; if swelling extends to the epigastrium, take Zusanli (ST36). (Same *Si Shi* chapter)
Gallbladder disease manifests with frequent sighing, bitter taste, vomiting of old bile, palpitations, fear of being caught, sensation of obstruction in the throat with frequent spitting. Located at the root and end of the Foot Shaoyang meridian; also moxa sunken pulses. For chills and fever, take Yanglingquan (GB34). (Same *Xie Qi* chapter) Frequent vomiting with bitter taste, long sighs, palpitations, fear of being caught. Pathogen in Gallbladder, rebellion in Stomach. Gallbladder fluid leakage causes bitter taste; Stomach Qi rebellion causes bitter vomiting, hence "vomiting from Gallbladder." Take Zusanli (ST36) to descend. Stomach Qi rebellion requires pricking Shaoyang blood collaterals to close Gallbladder rebellion, then regulate excess/deficiency to eliminate pathogen. (Same *Si Shi* chapter)
[Ling Shu] Cun Kou governs interior, Ren Ying governs exterior. They should correspond, moving together like a rope of equal size. In Spring/Summer, Ren Ying is slightly larger; in Autumn/Winter, Cun Kou is slightly larger. This is a healthy person. Ren Ying one times larger than Cun Kou: disease in Foot Shaoyang; rapid indicates Hand Shaoyang. Two times: Foot Taiyang; rapid indicates Hand Taiyang. Three times: Foot Yangming; rapid indicates Hand Yangming. Excess causes heat, deficiency causes cold, tight indicates painful obstruction, choppy indicates fluctuating severity. Excess drains, deficiency tonifies, tight/painful takes flesh spaces, choppy takes blood collaterals and medicine, sunken takes moxa, neither excess nor deficiency takes the meridian (Jing Ci). Ren Ying four times larger and rapid is called Overflowing Yang (Yi Yang), representing External Grid, fatal. Examine root and branch, cold and heat to verify Zang-Fu disease. (From *Jin Fu* chapter) Ren Ying one excess: drain Foot Shaoyang, tonify Foot Jueyin (2 drain, 1 tonify), daily treatment, verify pulse, disperse until upper Qi harmonizes. Ren Ying two excess: drain Foot Taiyang, tonify Foot Shaoyin (2 drain, 1 tonify), every two days, verify pulse, disperse until upper Qi harmonizes. Ren Ying three excess: drain Foot Yangming, tonify Foot Taiyin (2 drain, 1 tonify), twice daily, verify pulse, disperse until upper Qi harmonizes. (From *Zhong Shi* chapter)
[Ling Shu] Cun Kou one time larger than Ren Ying: disease in Foot Jueyin; rapid indicates Hand Jueyin. Two times: Foot Shaoyin; rapid indicates Hand Shaoyin. Three times: Foot Taiyin; rapid indicates Hand Taiyin. Excess causes distension, internal cold, indigestion. Deficiency causes internal heat, ulceration, shortness of breath, urine color change. Tight indicates painful obstruction. Choppy indicates intermittent pain. Excess drains, deficiency tonifies, tight needles then moxa, choppy takes blood collaterals then regulates, sunken only moxa. Sunken means blood knotting in the vessel, stasis, cold blood suitable for moxa. Neither excess nor deficiency takes the meridian. Cun Kou four times larger is called Internal Closure (Nei Guan), rapid and large, fatal. Examine root/branch cold/warmth to verify Zang-Fu disease, open Ying-Shu points to transmit to general principles. General principles: Excess only drain, deficiency only tonify, tight moxa/needle and medicine, sunken only moxa, neither excess nor deficiency takes the meridian. Jing treatment involves medicine or needle/moxa. Tight pulse requires stretching, large/weak pulse requires quietude and avoiding exertion. (From *Jin Fu* chapter) Pulse Kou one excess: drain Foot Jueyin, tonify Foot Shaoyang (2 tonify, 1 drain), daily, verify pulse, disperse until upper Qi harmonizes. Pulse Kou two excess: drain Foot Shaoyin, tonify Foot Taiyang (2 tonify, 1 drain), every two days, verify pulse, disperse until upper Qi harmonizes. Pulse Kou three excess: drain Foot Taiyin, tonify Foot Yangming (2 tonify, 1 drain), twice daily, verify pulse, disperse until upper Qi harmonizes. Twice daily because Taiyang governs Stomach, rich in grain Qi. (From *Zhong Shi* chapter) Ren Ying and Pulse Kou both three times excess is called Yin-Yang Overflow. Without opening, blood vessels close, Qi stagnates, flows internally, damaging Five Zang. Moxa here changes the disease. (Same)
Hand Taiyin Lung Meridian motion causes lung fullness, distension, asthma, cough, suprascapular pain, crossing hands and fainting (Arm Jue). Governs Lung diseases: cough, asthma, thirst, vexation, chest fullness, anterior arm pain/cold, palm heat. Excess: shoulder/back pain, wind-cold sweat, frequent urination. Deficiency: shoulder/back cold pain, shortness of breath. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Cun Kou 3x Ren Ying. Deficiency: Cun Kou < Ren Ying.
Foot Taiyin Spleen Meridian motion causes stiff tongue, vomiting after eating, epigastric pain, abdominal distension, belching, relief after defication/gas, body heaviness. Governs Spleen diseases: tongue pain, immobility, food refusal, vexation, urgent epigastric pain, cold malaria, loose stool, water closure, jaundice, inability to lie down, thigh/knee swelling standing forcibly, Jue, big toe useless. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Cun Kou 3x Ren Ying. Deficiency: Cun Kou < Ren Ying.
Hand Yangming Large Intestine Meridian motion causes tooth pain and gum swelling. Governs Fluid diseases: yellow eyes, dry mouth, nasal bleeding, throat obstruction, anterior shoulder pain, index finger useless. Excess: heat/swelling along meridian. Deficiency: cold shivering. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Ren Ying 3x Cun Kou. Deficiency: Ren Ying < Cun Kou.
Foot Yangming Stomach Meridian motion causes chills, groaning, yawning, dark face, aversion to people/fire, startle at wood sound, palpitations, desire to hide, climbing high singing, stripping clothes running, borborygmus, abdominal distension (Gan Jue). Governs Blood diseases: manic malaria, warm invasion, sweat, nasal bleeding, lip herpes, neck swelling, throat obstruction, large abdominal edema, knee cap swelling, pain along chest/breast/qichuan/thigh/vastus lateralis/lower leg/dorsum foot, middle finger useless. Excess: heat anterior body, excessive stomach heat/hunger, yellow urine. Deficiency: cold anterior body, stomach cold/distension. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Ren Ying 3x Cun Kou. Deficiency: Ren Ying < Cun Kou.
Hand Shaoyin Heart Meridian motion causes dry throat, heart pain, thirst/drinking (Arm Jue). Governs Heart diseases: yellow eyes, hypochondriac pain, posterior arm pain, Jue, palm heat/pain. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Cun Kou 2x Ren Ying. Deficiency: Cun Kou < Ren Ying.
Foot Shaoyin Kidney Meridian motion causes hunger without appetite, dark/shriveled face, hemoptysis, asthmatic breathing, sitting wanting to rise, blurred vision, hanging heart feeling like hunger, fear/startle (Bone Jue). Governs Kidney diseases: hot mouth/tongue, dry throat, swelling/upward Qi, throat pain, vexation, heart pain, jaundice, intestinal issues, spinal soreness, posterior thigh pain, flaccidity/Jue, lethargy, hot painful soles. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Moxa: strong diet, loose belt/hair, heavy cane/shoes walking. Excess: Cun Kou 2x Ren Ying. Deficiency: Cun Kou < Ren Ying.
Hand Taiyang Small Intestine Meridian motion causes throat pain, jaw swelling, inability to look back, shoulder like pulling, arm like breaking. Governs Liquid diseases: deafness, yellow eyes, cheek swelling, posterior neck/jaw/shoulder/elbow/arm pain. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Ren Ying 2x Cun Kou. Deficiency: Ren Ying < Cun Kou.
Foot Taiyang Bladder Meridian motion causes rushing headache, eyes like falling out, neck like pulling, spinal pain, waist like breaking, thigh unable to bend, hamstring like knotting/tearing (Ankle Jue). Governs Sinew diseases: hemorrhoids, malaria, mania/epilepsy, head/occiput/neck pain, yellow eyes/tears, nasal bleeding, posterior neck/back/waist/buttock/leg pain, little toe useless. Excess drain, deficiency tonify, heat quick needle, cold retain needle, neither excess nor deficiency takes meridian. Excess: Ren Ying 2x Cun Kou. Deficiency: Ren Ying < Cun Kou.
Hand Jueyin Pericardium Meridian motion causes palm heat, arm/elbow spasm, axillary swelling, chest/hypochondriac fullness, violent heart beating, red face/yellow eyes, uncontrollable laughter. Governs Vessel diseases: vexation, heart pain, palm heat. Excess drain, deficiency tonify, heat quick needle, cold retain needle, sunken moxa, neither excess nor deficiency takes meridian. Excess: Cun Kou 1x Ren Ying. Deficiency: Cun Kou < Ren Ying.
Foot Jueyin Liver Meridian motion causes lower back pain unable to bend/extend, hernia in men, lower abdominal swelling in women, dry throat, dusty face/color loss. Governs Liver diseases